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The correct answer is B: aortic insufficiency.

The picture shows a color M mode through the aortic valve in someone with aortic insufficiency. Color M mode is a good modality to assess for timing of regurgitant jets in this view, especially in those with fast heart rates. Here we see an aortic insufficiency jet in diastole. The width of the jet suggests the AI is mild [or moderate]. The mitral valve is not seen in this view and there is nothing to suggest aortic stenosis or a bicuspid aortic valve. There is a nice square box during systole without hindrance to the opening of the valve and the valve coaps in the center of the aortic root plane, which you may not see with a bicuspid valve.


Valve disease

Author: Atif Qasim, MD FASE
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